# SPINE REHABILITATION AND WELLNESS CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134821820
- **Authorized official:** DR. MICHAEL EDWARD KELLY DC (OWNER)
- **Authorized official phone:** (973) 277-0868

## Contact information

- **Practice address:** 1599 HAMBURG TPKE STE C, WAYNE, NJ 07470-4093
- **Practice address phone:** (973) 277-0868
- **Mailing address:** 2201 CROSSING WAY, WAYNE, NJ 07470-4729
- **Mailing address phone:** (973) 277-0868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2023
- **Last updated:** 03/20/2023